A patient has been taking phentermine and topiramate Osymia for 6 ...

[notis]

A patient has been taking phentermine and topiramate Osymia for 6 months for weight loss. The nurse weighs the patient and notes a 3 weight loss since beginning the drug. The nurse will expect the prescriber to:
 
  a. continue the current dosage for 4 more weeks.
  b. discontinue the drug.
  c. increase the drug dosage.
  d. switch to another nonamphetamine agent.

Question 2

A patient will begin taking phentermine and topiramate Osymia to help with weight loss and asks the nurse why the second ingredient is necessary. Which is the correct response by the nurse?
 
  a. Topiramate helps reduce the risk of sei-zures that can occur with phentermine.
  b. Topiramate helps produce feelings of satiety to augment the drug effects.
  c. Topiramate increases the appetite sup-pression caused by phentermine.
  d. Topiramate increases the rate of weight loss by acting as a stimulant.

[mk6555]

Answer to Question 1

B
If a patient who is taking phentermine and topiramate has not lost 5 of weight by 6 months, the drug should be discontinued. Patients losing only 3 or less by 3 months of therapy may benefit from an increased or continued dose. Switching to another nonamphetamine produce is not rec-ommended.

Answer to Question 2

B
Topiramate is an antiseizure medication that acts to induce a sense of satiety in patients taking the combination product. It is not given for its antiseizure properties. Phentermine causes appetite suppression. Topiramate does not act as a stimulant.

[notis]

TYSM

[nyrave]

Gracias!